Politically, handling the Affordable Care Act or not taking it on are both dangerous. While lots of citizens don't understand all that the federal health law does, some of its rules take pleasure in broad support. That's especially true of the securities for individuals with medical issues under the existing law, insurance providers are disallowed from rejecting them for coverage or charging them more than individuals without such conditions.

Experts on both sides anticipate issues about health costs and health law to play a large role once again in 2020. For Republicans, "the risk of doing absolutely nothing potentially leaves no port in a storm if the ACA is reversed legally," Rosen states. "But a more minimal version, which is what most Republicans are for, is most likely to be consulted with the exact same concerns.

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